Healthcare Provider Details

I. General information

NPI: 1497844898
Provider Name (Legal Business Name): PAUL JOSEPH LIGMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 CRICKET LN
MANSFIELD OH
44906-4104
US

IV. Provider business mailing address

PO BOX 20451 2000 HENDERSON RD STE 325
COLUMBUS OH
43220-0451
US

V. Phone/Fax

Practice location:
  • Phone: 614-451-1198
  • Fax: 614-451-5846
Mailing address:
  • Phone: 614-451-7346
  • Fax: 614-451-5846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number35066238
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: